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Tenn. Code Ann. § 56-61-119

Binding nature of external review decisions

Known as the Tennessee Health Carrier Grievance and External Review Procedure Act

The act spans §§ 56-61-101 to 56-61-125 (25 sections).

Acts 2010, ch. 980, § 20.

(1) An external review decision is binding on the health carrier except to the extent that the health carrier has other remedies available under applicable federal or state law.

(2) An external review decision is binding on the covered person except to the extent that the covered person has other remedies available under applicable federal or state law.

(3) An external review decision is binding on the healthcare provider except to the extent that the healthcare provider has other remedies available under applicable federal or state law.

(4) An aggrieved person may not file a subsequent request for external review involving the same adverse determination or final adverse determination for which the covered person has already received an external review decision pursuant to this chapter.

Current official text: Tennessee Code (LexisNexis). Digitized from the UniCourt Code Improvement Commission public-domain capture. Reproduced from public-domain Tennessee statutes; confirm against the official source for the current text. Not legal advice.